MILASZEWICZ,ANNA

DOB: 04/30/1985 Age: 39 Specimen: ZD729193A Collected: 10/08/2024 15:57 Client #: 93003772
Sex: F Fasting: Y Requisition: 0144676 Received: 10/08/2024 15:58 ALADDIN,ZENA
Phone: (805) 815-6537 Lab Reference ID: 646489CE21226 Reported: 10/10/2024 18:01 PRIMARY MED GRP
Patient ID: 963375 Report Status: FINAL / SEE REPORT 2772 JOHNSON DR
VENTURA, CA 93003-8582
Phone: (805) 642-1430
Fax: (805) 642-1436

FASTING:YES

LIPID PANEL WITH REFLEX TO DIRECT LDL

CHOLESTEROL, TOTAL 221
Reference Range: <200 mg/dL |
<200
No Historical Data

HDL CHOLESTEROL 61
Reference Range: > OR = 50 mg/dL |
> OR = 50
No Historical Data

TRIGLYCERIDES 71
Reference Range: <150 mg/dL |
<150
No Historical Data

LDL-CHOLESTEROL 143 H
mg/dL (calc) No Historical Data
Reference range: <100

Desirable range <100 mg/dL for primary prevention;

<70 mg/dL for patients with CHD or diabetic patients
with > or = 2 CHD risk factors.

LDL-C is now calculated using the Martin-Hopkins

calculation, which is a validated novel method providing
better accuracy than the Friedewald equation in the
estimation of LDL-C.
Martin SS et al. JAMA. 2013;310(19): 2061-2068
(http://education.QuestDiagnostics.com/faq/FAQ164)

CHOL/HDLC RATIO 3.6

Reference Range: <5.0 (calc) |
<5.0
No Historical Data

NON HDL CHOLESTEROL 160

Reference Range: <130 mg/dL (calc) |
<130
No Historical Data
For patients with diabetes plus 1 major ASCVD risk
factor, treating to a non-HDL-C goal of <100 mg/dL
(LDL-C of <70 mg/dL) is considered a therapeutic
option.

CBC (INCLUDES DIFF/PLT)

WHITE BLOOD CELL COUNT 8.5
Reference Range: 3.8-10.8 Thousand/uL |
3.8 10.8

No Historical Data

MILASZEWICZ,ANNA (ZD729193A) 1/9 12/26/24

RED BLOOD CELL COUNT 4.95
Reference Range: 3.80-5.10 Million/uL |
3.80 5.10
No Historical Data

HEMOGLOBIN 14.6
Reference Range: 11.7-15.5 g/dL |
11.7 15.5
No Historical Data

HEMATOCRIT 44.4
Reference Range: 35.0-45.0 % |
35.0 45.0
No Historical Data

MCV 89.7
Reference Range: 80.0-100.0 fL |
80.0 100.0
No Historical Data

MCH 29.5
Reference Range: 27.0-33.0 pg |
27.0 33.0

No Historical Data

MCHC 32.9
Reference Range: 32.0-36.0 g/dL |
32.0 36.0

No Historical Data
For adults, a slight decrease in the calculated MCHC
value (in the range of 30 to 32 g/dL) is most likely
not clinically significant; however, it should be
interpreted with caution in correlation with other
red cell parameters and the patient's clinical
condition.

RDW 13.6
Reference Range: 11.0-15.0 % |
11.0 15.0
No Historical Data

PLATELET COUNT 475

Reference Range: 140-400 Thousand/uL |
140 400
No Historical Data

MPV 10.7
Reference Range: 7.5-12.5 fL |
7.5 12.5
No Historical Data

ABSOLUTE NEUTROPHILS 4803

Reference Range: 1500-7800 cells/uL |
1500 7800
No Historical Data

ABSOLUTE LYMPHOCYTES 2763

Reference Range: 850-3900 cells/uL |
850 3900
No Historical Data

MILASZEWICZ,ANNA (ZD729193A) 2/9 12/26/24

ABSOLUTE MONOCYTES 765
Reference Range: 200-950 cells/uL |
200 950
No Historical Data

ABSOLUTE EOSINOPHILS 94
Reference Range: 15-500 cells/uL |
15 500
No Historical Data

ABSOLUTE BASOPHILS 77
Reference Range: 0-200 cells/uL |
0 200
No Historical Data

NEUTROPHILS 56.5
%
No Historical Data

LYMPHOCYTES 32.5
%
No Historical Data

MONOCYTES 9.0
%
No Historical Data

EOSINOPHILS 1.1
%
No Historical Data

BASOPHILS 0.9
%
No Historical Data

COMPREHENSIVE METABOLIC PANEL

GLUCOSE 86
Reference Range: 65-99 mg/dL |
65 99
No Historical Data
Fasting reference interval

UREA NITROGEN (BUN) 11

Reference Range: 7-25 mg/dL |
7 25
No Historical Data

CREATININE 0.76
Reference Range: 0.50-0.97 mg/dL |
0.50 0.97
No Historical Data

EGFR 102
Reference Range: > OR = 60 mL/min/1.73m2 |
> OR = 60
No Historical Data

BUN/CREATININE RATIO SEE NOTE:

Reference Range: 6-22 (calc)
No Historical Data
Not Reported: BUN and Creatinine are within
reference range.

MILASZEWICZ,ANNA (ZD729193A) 3/9 12/26/24

SODIUM 137
Reference Range: 135-146 mmol/L |
135 146

No Historical Data

POTASSIUM 4.5
Reference Range: 3.5-5.3 mmol/L |
3.5 5.3
No Historical Data

CHLORIDE 102
Reference Range: 98-110 mmol/L |
98 110

No Historical Data

CARBON DIOXIDE 24
Reference Range: 20-32 mmol/L |
20 32
No Historical Data

CALCIUM 9.9
Reference Range: 8.6-10.2 mg/dL |
8.6 10.2

No Historical Data

PROTEIN, TOTAL 7.6

Reference Range: 6.1-8.1 g/dL |
6.1 8.1
No Historical Data

ALBUMIN 4.6
Reference Range: 3.6-5.1 g/dL |
3.6 5.1

No Historical Data

GLOBULIN 3.0
Reference Range: 1.9-3.7 g/dL (calc) |
1.9 3.7
No Historical Data

ALBUMIN/GLOBULIN RATIO 1.5

Reference Range: 1.0-2.5 (calc) |
1.0 2.5

No Historical Data

BILIRUBIN, TOTAL 0.6

Reference Range: 0.2-1.2 mg/dL |
0.2 1.2
No Historical Data

ALKALINE PHOSPHATASE 78
Reference Range: 31-125 U/L |
31 125

No Historical Data

AST 19
Reference Range: 10-30 U/L |
10 30
No Historical Data

MILASZEWICZ,ANNA (ZD729193A) 4/9 12/26/24

ALT 14
Reference Range: 6-29 U/L |
6 29
No Historical Data

IRON, TIBC AND FERRITIN PANEL

IRON, TOTAL 96
Reference Range: 40-190 mcg/dL |
40 190

No Historical Data

IRON BINDING CAPACITY 372

Reference Range: 250-450 mcg/dL (calc) |
250 450
No Historical Data

% SATURATION 26
Reference Range: 16-45 % (calc) |
16 45

No Historical Data

FERRITIN 26
Reference Range: 16-154 ng/mL |
16 154
No Historical Data

LIPOPROTEIN (a)
LIPOPROTEIN (a) 21
nmol/L
No Historical Data
Reference Range <75

Risk:
Optimal <75
Moderate 75-125
High >125

Cardiovascular event risk category

cut points (optimal, moderate, high)
are based on Tsimika S. JACC
2017;69:692-711.

CORTISOL, TOTAL
CORTISOL, TOTAL 21.8
mcg/dL
No Historical Data
Reference Range: For 8 a.m.(7-9 a.m.) Specimen: 4.0-22.0
Reference Range: For 4 p.m.(3-5 p.m.) Specimen: 3.0-17.0
* Please interpret above results accordingly *

INSULIN

MILASZEWICZ,ANNA (ZD729193A) 5/9 12/26/24

INSULIN 7.4
uIU/mL
No Historical Data
Reference Range < or = 18.4

Risk:
Optimal < or = 18.4
Moderate NA
High >18.4

Adult cardiovascular event risk category

cut points (optimal, moderate, high)
are based on Insulin Reference Interval
studies performed at Quest Diagnostics
in 2022.

VITAMIN B12/FOLATE, SERUM PANEL

VITAMIN B12 443
Reference Range: 200-1100 pg/mL |
200 1100

No Historical Data

FOLATE, SERUM 17.9

ng/mL
No Historical Data
Reference Range
Low: <3.4
Borderline: 3.4-5.4
Normal: >5.4

TSH W/REFLEX TO FT4

TSH W/REFLEX TO FT4 4.21
mIU/L
No Historical Data
Reference Range

> or = 20 Years 0.40-4.50

Pregnancy Ranges
First trimester 0.26-2.66
Second trimester 0.55-2.73
Third trimester 0.43-2.91

HEMOGLOBIN A1c
HEMOGLOBIN A1c 5.4
Reference Range: <5.7 % of total Hgb |
<5.7
No Historical Data
For the purpose of screening for the presence of
diabetes:

<5.7% Consistent with the absence of diabetes

5.7-6.4% Consistent with increased risk for diabetes
(prediabetes)
> or =6.5% Consistent with diabetes

This assay result is consistent with a decreased risk

of diabetes.

Currently, no consensus exists regarding use of

hemoglobin A1c for diagnosis of diabetes in children.

According to American Diabetes Association (ADA)

guidelines, hemoglobin A1c <7.0% represents optimal
control in non-pregnant diabetic patients. Different
metrics may apply to specific patient populations.
Standards of Medical Care in Diabetes(ADA).
MILASZEWICZ,ANNA (ZD729193A) 6/9 12/26/24
Performing Sites
EN Quest Diagnostics-West Hills, 8401 Fallbrook Ave, West Hills, CA 91304-3226 Laboratory Director: Thomas J McDonald

Key
Priority Out of Range Out of Range

Report Insights

CHOLESTEROL, TOTAL
Total Cholesterol > 200 mg/dL
The level of total cholesterol circulating in the blood can help determine your risk for heart disease. The National Heart, Lung, and Blood Institute
(NHLBI) considers a total cholesterol level of less than 200 mg/dL to be in the desirable range. A total cholesterol level above 200 mg/dL may
suggest you have a greater risk for heart disease. Total cholesterol levels vary by age, gender, and heredity. Other cholesterol measurements,
alongside patient characteristics, should be taken into consideration when determining a person’s risk level for heart disease. Click here:
https://www.webmd.com/cholesterol-management/understanding-numbers to learn more about cholesterol levels and how they matter to a
person's health.

LIPID PANEL WITH REFLEX TO DIRECT LDL

Know the Facts about High Cholesterol
Nearly 1 in 3 American adults has high cholesterol. Too much cholesterol puts you at risk for heart disease and stroke, two leading causes of
death in the United States. High cholesterol has no signs or symptoms, so the only way to know if you have it is to get your cholesterol checked.
Talk to your health care team about how you can manage your cholesterol levels and lower your risk.

Visit : https://www.heart.org/-/media/files/health-topics/cholesterol/cccc_my-cholesterol-guide.pdfthe CDC website for more information about

cholesterol: https://www.cdc.gov/cholesterol/index.htm

Heart Medication Awareness

This publication discuss heart medication, and the importance of finding the right dose.
View More:
https://ii.questdiagnostics.com/ii-content-service/media/image?path=/insights/c1560f33-b352-4cd4-8205-
a85431bb4e3c/images/11Febheartmedication.pdf

CBC (INCLUDES DIFF/PLT)

Blood Test Results: CBC Explained
A complete blood count (CBC) with differential measures the essential components of the blood including white blood cells, red blood cells, and
platelets. Learn more about the various components of a CBC by clicking here.:
https://www.sonoraquest.com/patients/knowledge-center/knowledge-pages/understanding-the-complete-blood-count-cbc/

Complete Blood Count (CBC)

A CBC is a commonly ordered blood test that may be helpful to diagnose a variety of health conditions, such as an infection, anemia, or bleeding
disorder. It is also a general indicator of overall health. A CBC test screens for many blood components, including red and white blood cells,
platelets, and hemoglobin. Learn more about the various components of a CBC by clicking here.:
https://www.sonoraquest.com/patients/knowledge-center/knowledge-pages/understanding-the-complete-blood-count-cbc/

COMPREHENSIVE METABOLIC PANEL

Comprehensive Metabolic Panel Result: What does it mean?
A CMP refers to a broad screening tool that includes 14 tests that evaluate the functioning of a person's liver and kidneys, as well as the body's
fluid balance and general metabolism. The results additionally provide a general indicator of your overall health; a CMP is often ordered in your
yearly physical exam.

In a CMP, levels of liver enzymes, waste products of the kidneys (BUN and creatinine), electrolytes (calcium, sodium, potassium), and glucose,
among other indicators of general body function are detected. The test results of a CMP are useful to examine for conditions, such as diabetes,
liver disease, and kidney disease and also to monitor present conditions, such as hypertension.

IRON, TIBC AND FERRITIN PANEL

MILASZEWICZ,ANNA (ZD729193A) 7/9 12/26/24

Iron, TIBC (total iron-binding capacity), Ferritin
Levels of iron, TIBC, and ferritin in the blood are measured when iron-deficiency anemia is suspected. Iron is an important component of red blood
cells and it plays a major role in transporting oxygen throughout the body. Iron-deficiency anemia is very common, especially among younger
women. It can lead to symptoms of tiredness, shortness of breath, and sometimes chest pain.

If you are diagnosed with iron-deficiency anemia you may be asked to adhere to a healthy diet and take iron supplements. More on iron-
deficiency anemia can be found by clicking here: https://www.nhlbi.nih.gov/health-topics/iron-deficiency-anemia to move to the health topics
website of the National Heart, Lung, and Blood Institute.

INSULIN
Insulin Testing
Insulin is a hormone that is produced and stored in the beta cells of the pancreas. It is vital for the transportation and storage of glucose, the
body’s main source of energy. Learn more about insulin testing at the American Association for Clinical Chemistry’s Lab Tests Online website.
Go to Lab Tests Online: https://labtestsonline.org/understanding/analytes/insulin/tab/test/

VITAMIN B12/FOLATE, SERUM PANEL

Folate Fact Sheet
Folate is a B-vitamin used by our bodies to make DNA and other genetic material and is needed for the body’s cells to divide. Learn more about
folate from this fact sheet provided by the NIH’s Office of Dietary Supplements (ODS).
Download the fact sheet from the ODS website : https://ods.od.nih.gov/factsheets/Folate-Consumer/
Vitamin B12 Fact Sheet
In addition to keeping the body’s nerve and blood cells healthy, the nutrient vitamin B12 helps make DNA, the genetic material in all cells.
Read more in this fact sheet provided by the NIH Office of Dietary Supplements : http://ods.od.nih.gov/pdf/factsheets/VitaminB12-Consumer.pdf

TSH W/REFLEX TO FT4

Question 1. What is TSH and how is it measured?
Thyroid stimulating hormone (TSH) is one of the most important hormones currently used to diagnose thyroid abnormalities. This glycoprotein is
secreted by the pituitary and stimulates release of thyroxine (T4) and triiodothyronine (T3) from the thyroid gland. TSH release from the pituitary
is controlled by thyrotropin releasing hormone (TRH) stimulation and negative feedback from free T3 and free T4.

Question 2. Does the time of day matter when sampling for TSH testing?
Yes. TSH concentration follows a diurnal rhythm. Typically, the peak occurs around midnight and the nadir (~50% of the peak value) around mid-
day. Population-based reference intervals are generally obtained from subjects tested in the daytime, closer to the trough than to the peak. So,
when evaluating a patient’s serial TSH concentrations, differences in sample collection time should be considered.

Question 3. How variable is TSH?

TSH has moderate intraindividual variability and even more marked interindividual variability. The interindividual coefficient of variation is about
32%; consequently there is a wide population-based reference interval for TSH. Since the intraindividual variation is considerably less, comparing
a specific patient’s current TSH level with any past level may be more illuminating than comparing the patient’s current TSH level to the reference
interval. A difference of 0.7 mIU/L or greater is considered significant when evaluating a patient’s serial TSH values.

Thyroid Screen - TSH

TSH refers to thyroid stimulating hormone. This hormone is produced in the pituitary gland and it acts on the thyroid gland in the front of your
neck. Here it stimulates the production of thyroid hormones and their release into the blood. While high or low levels of TSH in the blood may
indicate a thyroid disorder, additional tests may be ordered to better understand the specific medical condition. More information on TSH and
screening for thyroid disorders may be found on WebMD by clicking here: https://www.webmd.com/women/what-is-tsh-test#1.

Thyroid Function Tests

The blood tests that are most widely used to evaluate thyroid function include those that measure TSH, T4, T3, free T4, and thyroid antibody
levels. Read more about these tests in the brochure provided by the American Thyroid Association (ATA).
Download the brochure from the ATA website: http://www.thyroid.org/wp-content/uploads/patients/brochures/FunctionTests_brochure.pdf

HEMOGLOBIN A1C
HbA1c and eAG
The A1c is a blood test that tells you what your average blood glucose levels have been for the past 2 to 3 months. It may also be reported as
estimated average blood glucose (eAG).

MILASZEWICZ,ANNA (ZD729193A) 8/9 12/26/24

 To interpret your result, first find your A1C number on the left. Then read across to learn your
average blood glucose for the past 2 to 3 months

6% 126 mg/dL 8.5% 197 mg/dL

6.5% 140 mg/dL 9% 212 mg/dL

7% 154 mg/dL 9.5% 226 mg/dL

7.5% 169 mg/dL 10% 240 mg/dL

8% 183 mg/dL 10.5% 255 mg/dL

Hemoglobin A1c (HbA1c)

HbA1c is formed by glucose molecules attaching to the protein, hemoglobin (a process called glycation), in red blood cells. The blood test for
HbA1c measures the percentage of hemoglobin that is glycated in the blood. Circulating HbA1c levels are an indicator of how much glucose the
body has been exposed to over a 2-to-3-month time period. Measurement of HbA1c is useful for diagnosis as well as assessing the risk for
developing diabetes. The American Diabetes Association (ADA) states that type 2 diabetes may be diagnosed if HbA1c is at 6.5% or higher with
repeat testing. Learn more about HbA1c by clicking here: http://www.diabetes.org/diabetes-basics/diagnosis/ to visit an informational page from
the ADA website.

Quest Diagnostics Patient Service Centers

Use our online scheduling service to make an appointment at a Quest Diagnostics Patient Service Center.
Schedule an Appointment: https://appointment.questdiagnostics.com/schedule-appointment/as-reason-for-visit

Note: Data displayed only for results that meet strict identification matching. Historical result view may vary based on corrected or updated patient demographics. The reference range
displayed may vary due to potential changes in laboratory testing methods. Please refer to the published reference range on each lab report.
These results have been sent to the person who ordered the tests. Your receipt of these results should not be viewed as medical advice and is not meant to replace discussion with
your doctor or other healthcare professional.

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MILASZEWICZ,ANNA (ZD729193A) 9/9 12/26/24